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General NPI Number Information
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NPI Number | 1962517680
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Entity Type | Organization
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Legal Business Name | CENTERS FOR ADVANCED FOOT CARE
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 12121 RICHMOND AVE SUITE 415
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City | HOUSTON
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State | TX
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Zip | 77082-2432
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Country | US
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Telephone | 281-531-4100
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Fax | 281-531-9600
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Provider Business Mailing Address
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Address Line | 12000 RICHMOND AVE STE 370
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City | HOUSTON
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State | TX
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Zip | 77082-2964
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Country | US
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Telephone | 281-531-4100
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Fax | 281-531-9600
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ASIA E LO
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Credential | DPM
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Telephone | 281-531-4100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 0850
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License Number State | TX
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